Zanubrutinib, Obinutuzumab and Lenalidomide (ZGR) in High-risk Treatment-naive Patients with Follicular Lymphoma (FL)

NCT ID: NCT06549335

Last Updated: 2024-10-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-01

Study Completion Date

2026-12-31

Brief Summary

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This is a prospective, multiple-centers, open-label, single-arm clinical study designed to evaluate the efficacy and safety of Zanubrutinib, Obinutuzumab, and Lenalidomide (ZGR) in high-risk treatment-naive patients with follicular lymphomas

Detailed Description

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Conditions

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Follicular Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental: Zanubrutinib, Obinutuzumab and Lenalidomide (ZGR)

Group Type EXPERIMENTAL

Zanubrutinib, Obinutuzumab and Lenalidomide (ZGR)

Intervention Type DRUG

Induction therapy:

The ZGR regimen will be given from day 1 of each cycle of treatment. Each cycle will last for 28 days. Participants will receive a total of 6 cycles.

Dosage:

1. Zanubrutinib, 160 mg bid, po, day 1-28;
2. Obinutuzumab, 1000mg, ivgtt, day 1/8/15 (C1), day1 (C2-6);
3. Lenalidomide, 25 mg qd, po, day 2-11.

Maintenance therapy:

1. Obinutuzumab, ivgtt,1000mg, every 3 months for 2 years;
2. Lenalidomide, 25mg, PO, during 1-10 days in every 28 days for 6 cycles.

Interventions

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Zanubrutinib, Obinutuzumab and Lenalidomide (ZGR)

Induction therapy:

The ZGR regimen will be given from day 1 of each cycle of treatment. Each cycle will last for 28 days. Participants will receive a total of 6 cycles.

Dosage:

1. Zanubrutinib, 160 mg bid, po, day 1-28;
2. Obinutuzumab, 1000mg, ivgtt, day 1/8/15 (C1), day1 (C2-6);
3. Lenalidomide, 25 mg qd, po, day 2-11.

Maintenance therapy:

1. Obinutuzumab, ivgtt,1000mg, every 3 months for 2 years;
2. Lenalidomide, 25mg, PO, during 1-10 days in every 28 days for 6 cycles.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Pathologically confirmed CD20 positive follicular lymphoma grade 1, 2, or 3A based on 2016 WHO classification
2. Treatment naive
3. Age ≥ 18 years
4. Indications for treatment confirmed
5. Identified as high-risk group by Follicular Lymphoma International Prognostic Index 2 (FLIPI2) at enrollment
6. Must has measurable lesion in CT or PET-CT prior to treatment
7. Considered suitable for ZGR regimens
8. Informed consented

Exclusion Criteria

* Transformed follicular lymphoma or 3B follicular lymphoma;
* HBsAg positive and / or HBcAb positive with HBV DNA titer; HCV antibody positive with HCV-RNA; or HIV positive
* Any drug contraindication in the treatment plan
* Pregnant or lactating women
* Patients judged by other researchers to be unsuitable for inclusion in the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ruijin Hospital

OTHER

Sponsor Role lead

Responsible Party

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Zhao Weili

First Deputy Director, Hematology Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, , China

Site Status

Countries

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China

Central Contacts

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Weili Zhao, M.D. and Ph.D

Role: CONTACT

+862164370045 ext. 610707

Pengpeng Xu, M.D. and Ph.D

Role: CONTACT

+862164370045 ext. 610707

Other Identifiers

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FL-ZGR

Identifier Type: -

Identifier Source: org_study_id

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